Individual
GERALDINE DELORES CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2940 36TH AVE S, MINNEAPOLIS, MN 55406-1716
(612) 423-0012
(651) 372-8781
Mailing address
2940 36TH AVE S, MINNEAPOLIS, MN 55406-1716
(612) 423-0012
(651) 372-8781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301856
MN
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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